Roentgen diagnosis of ascaris in the gastro-intestinal tract

1 The roentgen diagnosis of ascariasis in the gastro-intestinal tract is not meant entirely to supplant the microscopic examination2. The roentgen examination of the gastro-intestinal tract furnishes an invaluable aid or for the proper management of cases presenting typical and even frank gastro-intestinal pathological conditions3. Because of the high incidence of ascariasis in the Philippines, the X-ray examination of the gastro-intestinal tract may prove to be a valuable aid in the diagnosis of vague gastro-intestinal disturbances4. Roentgen diagnosis of ascariaris in the gastro-intestinal tract may be positive in the instances where feces examination is negative. This contradiction may occur: (a) when there are not adult worms present; (b) when the ascaris present are males only5. The X-ray findings, if positive, give also the worms situation in the gastro-intestinal tract. Such a locating could not be furnished by the feces examination alone6. Because of the insufficient amount of contrast substance which can be ingested by children the result of roentgen examination is not so satisfactory with them as with adults. (Summary)

Fetal death in utero

Dangers associated with prolonged intrauterine fetal death should include not so much of hemorrhagic complications but probably the troublesome anxiety states of patient and physician. It is observed that in our series we found no clotting defect of the maternal blood. It is recommended however, that patient with a dead fetus in utero as suggested by Pritchard be observed at the 4th week following death of the fetus. During this time she will probably go into labor and delivery. However, one may find it difficult to evacuate necrotic placenta and secundinesOne of the newer methods that may prove to be useful is confirming suspect fetal death is abdominal amniocentesis and nothing the character of the amniotic fluidI wonder if it behooves on us to emphasize and convince the patient and physician that all necessary is to have careful, regular and intelligent pre natal care and to await about 4 weeks to 5 weeks before forcing the issue, last our fingers become too itchy on the knife or some other forms of traumatic delivery. (Summary and Conclusion)